BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BASIC CONFIGURATION MODEL 6550

    MDR report key: 2191398 · Received July 28, 2011

    Report

    Report Number
    1831750-2011-07806
    Event Type
    Malfunction
    Date Received
    July 28, 2011
    Date of Event
    June 21, 2011
    Report Date
    June 30, 2011
    Manufacturer
    STRYKER MEDICAL
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GM
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    WHEEL ASSEMBLY.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE CASTER AT THE HEAD END IS DAMAGED AND THE WHEEL IS JAMMED. THERE WAS NO REPORTED PT INVOLVEMENT OR ADVERSE CONSEQUENCES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BASIC CONFIGURATION MODEL 6550 STRETCHER, WHEELED FPO STRYKER MEDICAL 6550 NA

    Patients

    Seq Age Sex Outcome Treatment
    1